Miss Laila Breana Jason, DPT | |
1000 Airport Rd, Godfrey, IL 62035-2929 | |
(618) 466-8831 | |
Not Available |
Full Name | Miss Laila Breana Jason |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1000 Airport Rd, Godfrey, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245713858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070023776 (Illinois) | Primary |
Provider Name | Legacy Healthcare Services Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261 |
Mailing Address | Practice Location Address |
---|---|
Miss Laila Breana Jason, DPT 1000 Airport Rd, Godfrey, IL 62035-2929 Ph: () - | Miss Laila Breana Jason, DPT 1000 Airport Rd, Godfrey, IL 62035-2929 Ph: (618) 466-8831 |
Mrs. Jennifer Lynn Weis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Airport Rd, Godfrey, IL 62035 Phone: 618-466-8221 | |
Nathan Scandrett, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4813 Dadrian Dr, Godfrey, IL 62035 Phone: 618-467-7071 | |
Steven Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Airport Rd, Godfrey, IL 62035 Phone: 618-466-8831 | |
Brianna Elizabeth Gaughan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Airport Rd, Godfrey, IL 62035 Phone: 618-407-6765 | |
Mrs. Karen Janine Hatch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4610 Levis Ln, Godfrey, IL 62035 Phone: 618-208-7213 | |
Jaime N Haar, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5701 Godfrey Rd, Godfrey, IL 62035 Phone: 618-433-9919 Fax: 618-433-1455 |